Individual provider Active NPI

Lauren Costa

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1669109286
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
32290 Issued in CA
Practice address
555 Meridian Ave Ste D
San Jose, CA 95126-3484
Phone
(650) 336-3383
Fax
(866) 320-3383
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 32290 CA Primary

Addresses

Primary practice location

555 Meridian Ave Ste D
San Jose, CA 95126-3484

Mailing address

555 Meridian Ave Ste D
San Jose, CA 95126-3484
Phone (650) 336-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32290CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Solutions Inc. CurrentSince Aug 7, 2022 Accepting new patients

Locations

555 Meridian Ave
Ste D
San Jose, CA 95126
Phone (408) 513-4313

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1669109286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MERIDIAN AVE STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263484",
            "telephone_number": "650-336-3383",
            "fax_number": "866-320-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MERIDIAN AVE STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263484",
            "telephone_number": "650-336-3383",
            "fax_number": "866-320-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.